Is it possible to be a great pelvic rehab provider without doing internal manual assessment and therapy?

In this episode, Becky challenges the idea that internal pelvic floor work is the “holy grail” of pelvic rehab. She explains why internal assessments and manual therapy can be helpful tools but are not necessary for successful patient outcomes. By focusing on root causes, patient beliefs, and proven frameworks, Becky shows how pelvic health professionals can deliver transformative results both in person and virtually.

What you’ll learn in this episode:

(0:00) Why internal pelvic floor work sparks debate among clinicians.

(2:36) How internal exams are helpful but not essential for success.

(5:30) Why provider skill and curiosity matter more than specialized techniques.

(9:42) The role of manual therapy in short-term versus long-term outcomes.

(15:00) How internal assessments can confirm clinical hypotheses and build patient trust.

(19:37) Why patient education about manual therapy prevents reliance and fosters empowerment.

(24:26) How to effectively help patients virtually without internal treatments.

(26:38) Real-world examples of virtual patients improving after failed in-person care.

Hey pelvic floor therapists and coaches! Sign up for Dr. Becky’s free virtual workshop, “From the Ground Up: Understanding the Foot & Pelvic Floor Connection”: https://www.thepelvicpowerhouse.com/foot-and-pelvic-floor-workshop

Join the waitlist for Becky’s upcoming coaching course: “How to Treat the Pelvic Floor Without Kegels”: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor. In this course, you’ll learn how to identify the root cause of pelvic floor dysfunction and confidently treat your patients without relying on Kegels. Becky runs this course only twice a year, so be sure to join the waitlist!

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

"From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a Physical Therapist and the Founder and Visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

This episode was produced by Story On Media: